Breast swelling and pain occur a few days before menstruation.

Written by Jia Rui
Obstetrics and Gynecology
Updated on January 04, 2025
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Breast pain and swelling commonly occur 3 to 5 days before menstruation. As everyone's physical condition varies, the severity and duration of breast pain can differ. Clinically, most women experience this discomfort. Generally, the symptoms gradually disappear after the onset of menstruation. This is related to hormonal imbalances involving estrogen before menstruation, or due to the withdrawal of estrogen. If the symptoms are mild, treatment is usually not necessary. It's often sufficient to rest adequately, avoid excessive fatigue, and maintain a good mood and outlook.

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Written by Lin Yang
Breast Surgery
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Is bilateral breast pain breast cancer?

Bilateral breast pain generally is not considered breast cancer, but rather breast hyperplasia. Diagnosis can be confirmed through breast ultrasound and mammography. The ultrasound of breast hyperplasia typically shows uneven low echo areas; if cysts are present, they appear as anechoic areas. Mammography may display a ground-glass or cotton wool-like shadow. However, it is important to be cautious of the possibility that breast hyperplasia and breast cancer may coexist. On one hand, patients with significant hyperplasia should be closely followed up, advised to return to the hospital every two to three months for follow-up examinations. On the other hand, patients with significant proliferative lumps or unclear boundaries in thickened breast areas are recommended to undergo a biopsy of the suspicious lesions to prevent misdiagnosis.

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Written by Wu Shi Ting
Breast Health Department
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What causes breast pain?

We note that breast pain is commonly seen in fibrocystic breast condition. We suggest that you develop good habits in your work and daily life, avoid spicy and irritating food, as well as habits of smoking and drinking, avoid staying up late and overworking, maintain a positive mood and optimistic attitude, and seek timely examination and treatment in a specialized department of a formal hospital. If the breast pain is not caused by fibrocystic changes but other serious lesions, it is even more crucial to promptly and early receive appropriate medical treatment from a doctor.

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Written by Du Rui Xia
Obstetrics
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Is there a quick way to relieve unbearable breast pain after a miscarriage?

After undergoing induction of labor at an advanced stage of pregnancy, there will also be secretion of milk from the breasts. When experiencing unbearable breast pain and swelling, it is necessary to use lactation-suppressing medications for treatment, such as drinking barley malt water, or undergoing treatment with medication under the guidance of a doctor. Additionally, you can eat some foods that have lactation-suppressing effects, such as hawthorn and leeks. You can also apply mirabilite by wrapping it in a cloth bag and then applying heat to the localized area of the breast to alleviate swelling and pain. If the condition is severe, it is still necessary to go to the hospital for treatment under the guidance of a doctor.

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Written by Lin Yang
Breast Surgery
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Can frequent breast pain be treated by patting?

Breast pain and swelling often occur, and slapping them is ineffective because the pain and swelling are related to fibrocystic breast change, which is often linked to hormonal imbalances causing increased levels of estrogen. Therefore, for symptoms that are quite severe, we can use traditional Chinese medicine, which alleviates pain through methods that soothe the liver and regulate qi, as well as harmonize the thoroughfare and conception vessels. Endocrine treatments are also an option, preferably avoided, but can be used before menstruation in cases of severe pain during the pre-menopausal period. Vitamin therapy can also be used; vitamins B, C, and E help improve liver function, regulate metabolic processes related to sex hormones, and enhance autonomic function, serving as adjunct therapies for this condition. Vitamin E also helps alleviate pain. (Medication should be administered under the guidance of a physician.)

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Written by Wu Shi Ting
Breast Health Department
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Is breast swelling and pain a sign of pregnancy?

After pregnancy, due to the influence of estrogen and progesterone, most women experience breast tenderness. However, not all breast tenderness is caused by pregnancy. There are many causes of breast tenderness. For example, some women experience mild cyclic breast tenderness with menstrual cycle changes, which is often physiological. There are also some diseases, such as common breast hyperplasia, that can cause breast tenderness. Of course, some benign or malignant tumors in the breast can also cause tenderness. Therefore, it is recommended that patients with breast tenderness seek timely medical examination at a hospital.